decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Group Practice / 75 percent of services test
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Article Overview
This premium article covers a Stark II group practice compliance topic focused on the 75 percent services test and how patient care services are defined for purposes of group practice status. It is relevant to physicians, group practice administrators, compliance staff, and medical coders who need a general understanding of the regulatory framework and the categories of work that are considered in the test.
Why This Topic Matters
Group practice status can affect Stark compliance analysis, so understanding the scope of the 75 percent services test and the underlying service-definition concept helps readers assess whether a practice arrangement fits the regulatory criteria.
What You Will Learn
- The regulatory basis for the group practice 75 percent services test
- How the article frames patient care services for Stark group practice purposes
- Which broad categories of physician and non-physician work are discussed in relation to the test
- How the article distinguishes group members from non-members for this topic
Who Should Read This
- Physicians
- Group practice administrators
- Compliance officers
- Medical coders
- Healthcare attorneys
Codes Discussed
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